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Anderson Thesis (Final).pdf (1.94 MB)

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Relationship between the Patient Activation Measure (PAM) & Adherence to Mandibular Advancement Device Treatment for Obstructive Sleep Apnea

Anderson, William Cameron
http://rave.ohiolink.edu/etdc/view?acc_num=osu1583850211157131

Abstract Details

2020, Master of Science, Ohio State University, Dentistry.
Objectives: Patients with obstructive sleep apnea (OSA) have been reported to have poor long-term adherence to oral appliances such as mandibular advancement devices (MAD). The Patient Activation Measure (PAM) is a valid and reliable questionnaire used to determine a patient’s ability and motivation to adhere to therapy. The aim of this pilot study was to determine if there is a difference in the initial PAM activation levels between patients who are adherent to MAD therapy and those who are not. Methods: Subjects were ages 18+ years old, had a diagnosis of OSA from a sleep physician and a referral for a MAD to treat their OSA. They completed the 13-question PAM questionnaire at consult (T0), and at follow up 1-month (T1) after delivery of their MAD. A sensor in the MAD recorded wear-time during treatment. Patients were placed in Adherent (wear > 4h/night and 70% of nights) or Non-Adherent group (wear <4h/night or 70% of nights OR failure to return for follow up visits after appliance delivery). Logistic regression was used to compare baseline PAM levels between both groups at 1 month. Results: 77 patients (39F, 38M) have been recruited. 48 subjects analyzed due to 18 dropouts and 11 not yet reaching T1. There were no significant differences between groups for demographics (age, sex, BMI, ESS, and AHI). Baseline PAM level did not predict adherence at 1 month of MAD treatment. Conclusions: Initial PAM level is not an accurate predictor of patient adherence with MAD treatment for OSA at 1 month.
Cameron Anderson (Committee Member)
Ai Ni (Committee Member)
Xiaohan Guo (Other)
Ulysses Magalang (Committee Member)
Allen Firestone (Advisor)
37 p.
Dentistry
Adherence, Sleep Apnea, Patient Activation, Mandibular Advancement Device

Recommended Citations

Citations

  • Anderson, W. C. (2020). Relationship between the Patient Activation Measure (PAM) & Adherence to Mandibular Advancement Device Treatment for Obstructive Sleep Apnea [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1583850211157131

    APA Style (7th edition)

  • Anderson, William. Relationship between the Patient Activation Measure (PAM) & Adherence to Mandibular Advancement Device Treatment for Obstructive Sleep Apnea. 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1583850211157131.

    MLA Style (8th edition)

  • Anderson, William. "Relationship between the Patient Activation Measure (PAM) & Adherence to Mandibular Advancement Device Treatment for Obstructive Sleep Apnea." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1583850211157131

    Chicago Manual of Style (17th edition)

osu1583850211157131
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This open access ETD is published by The Ohio State University and OhioLINK.